MARISSA RUSSELL
NPI 1033576293
Behavior Analyst in Mount Dora, FL

Active since January 19, 2016
1335 E 3RD AVE, MOUNT DORA, FL 32757(407) 415-4712 Get Directions Write a Review

NPPES record last updated: January 19, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Marissa Russell NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARISSA RUSSELL (NPI 1033576293) is a behavior analyst provider in Mount Dora, Florida and active in the NPI registry since January 2016.Information from the official NPPES registry record, last updated January 19, 2016.

NPPES Registry Identity

NPI1033576293
Entity TypeIndividualFemale
Provider Legal NameMARISSA RUSSELL
Location Address1335 E 3RD AVEMount Dora, FL 32757-5837
Mailing Address1335 E 3rd AveMount Dora, FL 32757-5837 · (407) 415-4712
Sole ProprietorYes
Enumeration DateJanuary 19, 2016
NPI 1033576293 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Behavior Analyst

Taxonomy 103K00000X · Behavioral Health & Social Service Providers

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to… Show more

1335 E 3RD AVE, Mount Dora, FL 32757

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033576293, enumerated as an "individual" on January 19, 2016.

The provider is located at 1335 E 3RD AVE MOUNT DORA, FL 32757 and the phone number is (407) 415-4712.

Behavior Analyst with taxonomy code 103K00000X.